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NBME 22 Answers

nbme22/Block 4/Question#30

A 27-year-old man who is a construction worker is ...

Splenic flexure

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submitted by meningitis(161),

I thought: lower pole then cant be suprarenal nor stomach which are higher""

Duodenum and Body of pancreas (except tail) are retroperitoneal and midline

The question here stated that the patient was stabbed beneath the 12th rib grazing the inferior pole of the left kidney.

From this you have to know the anatomical associations with the left kidney. The left kidney is in contact with the spleen, stomach & splenic flexure.

Out of these 3 options you have the stomach and Splenic flexure anterior to the kidney but what makes the splenic flexure the best answer is the description of where the he was stabbed. Stomach will be higher up than the splenic flexure.

Apply the same concept to the left kidney!

Hope this helps

I crossed out all of the other ones and all of the sudden that was all that was left 🤘